- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Lansing, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Lansing, MI)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Sedgwick (Southfield, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful ... do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise,...your moment.** **WHAT YOU'LL DO** **As a Senior Disability Representative , you'll be the go-to guide for individuals navigating… more
- Sedgwick (Southfield, MI)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex… more
- Insight Global (Auburn Hills, MI)
- Job Description Insight Global is looking for a Bilingual Technical Support Representative for a commercial vehicle supplier in the Auburn Hills, Michigan area. The ... Bilingual Technical Support Representative is responsible for taking inbound phone calls from...troubleshooting and diagnosing technical issues regarding product support, warranty claims , or maintenance products on medium and heavy-duty truck… more
- Highmark Health (Lansing, MI)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Lansing, MI)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Lansing, MI)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Lansing, MI)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers, ... while assuring program effectiveness. Serve as the Contracting Officer Representative for all transportation contracts, including common carrier, Special Mode,… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Prime Therapeutics (Lansing, MI)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Sunrise Senior Living (Troy, MI)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and ... Monitoring, Process, and Systems** + Set up ongoing procedures to collect and review information needed to assist in billing and accounting support services to meet… more
- Stantec (Berkley, MI)
- …Design Team for clarifications. - Negotiate acceptable resolutions to contract changes and claims , and process for management approval. - Review progress payment ... excellence, and possess technical skills to support project work as a field representative for the architect/engineer during the construction phase of a project. As… more
- Meijer (Grand Rapids, MI)
- …member discount + Development programs for advancement and career growth Please review the job profile below and apply today! Responsible for utilizing financial ... with guest to resolve difficult or unusual eCheck situations and Pharmacy claims . + Provide direct mentorship to Corporate Receivables team members and assists… more
- RxBenefits (Detroit, MI)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... across internal stakeholders to foster collaborative and efficient work products + Review for accuracy and finalize all current account pricing comparisons for… more
- Henry Ford Health System (Troy, MI)
- …maintaining acceptable work queue volumes for Referrals, DNB's, Charge Review and Denials Facilitating communication between insurance representatives, clinicians, ... with insurance payors regarding authorization issues. May be the hospital representative at external meetings which involve HFH management. Ensuring that services… more
- Henry Ford Health System (MI)
- …maintaining acceptable work queue volumes for Referrals, DNB's, Charge Review and Denials + Facilitating communication between insurance representatives, clinicians, ... with insurance payors regarding authorization issues. May be the hospital representative at external meetings which involve HFH management. + Ensuring that… more